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Jacqueline Renee Coghill
Primary Care Nurse Practitioner in Eureka, California
NPI 1740831767

Jacqueline Renee Coghill is a Primary Care Nurse Practitioner based in Eureka, CA and is specialized in Primary Care. Jacqueline Renee Coghill practices in Eureka, CA. The NPI Number for Jacqueline Renee Coghill is 1740831767 and holds a License No. 95012163 (California).

The current practice location address for Jacqueline Renee Coghill is Waterfront Recovery Services, Eureka, CA and can be reached out via phone at 707-269-9590 and via fax at 707-445-2599.

Location: Waterfront Recovery Services, Eureka, CA, 95503-5416
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Provider Profile Details
NPI Number
1740831767
Provider Name
Jacqueline Renee Coghill
Credential
Provider Entity Type
Individual
Gender
Female
Address
Waterfront Recovery Services, Eureka, CA, 95503-5416
Phone Number
707-269-9590
Fax Number
707-445-2599
Provider Enumeration Date
09/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417307125 01 CA MEDICAL DOCTOR
institution
Provider Business Practice Location Address Details
Address
Waterfront Recovery Services
City
State
Zip
95501
Phone Number
707-269-9590
Fax Number
707-445-2599
person
Provider Business Mailing Address Details
Address
Waterfront Recovery Services
City
State
Zip
95501
Phone Number
707-269-9590
Fax Number
707-445-2599
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
95012163 (California)
Definition
Definition to come...
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